NPI 1033964374 · live from the CMS NPI Registry
Collo Rosso Dermatology, PC
Dermatology in Chapin, SC. National Provider Identifier 1033964374, active.
NPI record
| NPI | 1033964374 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 200 Clark St, Chapin, SC 29036 |
| Practice phone | 803-233-8668 |
| Mailing address | 306 Lexington Ave, Chapin, SC 29036 |
| Enumerated | April 19, 2024 |
| Last updated | October 11, 2026 |
| Authorized official | Amber Rakestraw, Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — |
| Dermatology, Dermatopathology | 207ND0900X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.